Physician Assistants Omnibus/Team-based/Compact.
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HB 672 — Physician Assistants Omnibus/Team-based/Compact.
Last action — Passed 1st Reading
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill is in committee in the House. Introduced April 01, 2025. It must pass committee before a floor vote.
Next likely step: a committee vote, then a floor vote in the House.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
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In Committee
Current position in the legislative process.
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10 sponsors
3 primary, 7 co-sponsors signed on.
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Bipartisan support
Sponsored across 3 parties (6 R · 3 D · 1 I) — cross-party backing.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
177 added · 175 removedPlain-language change summary
In the latest version of House Bill 672, the title and introductory information about the bill, such as the sponsors and referral details, have been updated. Additionally, the section detailing the requirements for team-based practice as a physician assistant has been added, clarifying the conditions under which physician assistants can operate under a team-based model. This change is significant because it helps establish a clearer framework for physician assistants working collaboratively, which can potentially enhance patient care and streamline healthcare services.
GENERAL ASSEMBLY OF NORTH CAROLINA H.B.SESSION 2025 H 1 HOUSE BILL 672 Short Title:
672 Apr 1, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH10292-NBf-127 Short Title:
RepresentativeRepresentatives Paré.Paré, Potts, Lambeth, and Chesser (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House April 3, 2025 A BILL TO BE ENTITLED AN ACT TO ADJUST THE SUPERVISION ARRANGEMENT OF PHYSICIAN ASSISTANTS AND TO MAKE VARIOUS CHANGES TO THE LICENSURE OF PHYSICIAN ASSISTANTS.
(1) The applicant has successfully completed an educational program for physician assistants or surgeon assistants accredited by the Accreditation *H672-v-1* General Assembly Of North Carolina Session 2025 Review Commission on Education for the Physician Assistant or its predecessor or successor entities.
*DRH10292-NBf-127* General Assembly Of North Carolina Session 2025 (2) The applicant has a current or previous certification issued by the National Commission on Certification of Physician Assistants or its successor.
(c) Notwithstanding anyanyotherprovision otherprovision ofthis Chapter, a team-based physician assistant practicing in a perioperative setting, including the provision of surgical or anesthesia-related services, shall be supervised by a physician." SECTION 1.1.(d) G.S.
Page 2 House Bill 672-First Edition General Assembly Of North Carolina Session 2025 "§ 90-18.1.
Page 2 DRH10292-NBf-127 General Assembly Of North Carolina Session 2025 (a) Any person who is licensed under the provisions of G.S.
(a1) Physician assistants shall clearlyclearlydesignate designate their credentials as a physician assistant in all clinical settings.
When a targeted controlled substance prescribed in accordance with this subdivision is continuously prescribed to the same patient, the physician assistant shall consult with the supervisingphysicianatleastonceevery90daystoverifythattheprescriptionremainsmedicallysupervisingphysicianatleastonceevery90daystoverifythatthe prescriptionremainsmedically appropriate for the patient.
(3) The If the physician assistant is subject to a supervisory arrangement, the supervising physician has provided to the physician assistant written instructions about ordering medications, tests, and treatments, and when appropriate, specific oral or written instructions for an individual patient, with DRH10292-NBf-127House Bill 672-First Edition Page 3 General Assembly Of North Carolina Session 2025 provision for review bybythe the physician of the order within a reasonable time, as determined by the Board, after the medication, test, or treatment is ordered.
(e1) AnymedicalcertificationcompletedbyaphysicianassistantforaPhysicianassistantsAnymedicalcertificationcompletedbyaphysicianassistantfora Physician assistants may authenticate any document, including death certificate shall be deemed to have been authorized by the physician approved by the Board as the supervisor of the physician assistant, andthesupervisingphysicianshallberesponsibleforauthorizingthecompletion certificateswith their signature, certification, stamp, verification, affidavit, or endorsement, if it may be so authenticated by the signature, certification, stamp, verification, affidavit, or endorsement of the medical certification.a physician.
Page 4 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 a.
All child care facilities shall complycomplywith with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare.
The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under thepoliciesand procedures oftheCommission except that theCommission may,inmay, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis.
sanitation of water supply, lavatorylavatoryfacilities, facilities, toiletfacilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal;
DRH10292-NBf-127House Bill 672-First Edition Page 5 General Assembly Of North Carolina Session 2025 Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards.
This Compact allows Medical Services to be provided by PAs, via the mutual recognition of the Licensee's Qualifying License bybyother other Compact Participating States.
– The authorization granted by a Remote State to allow a Licensee from another Participating State to practice as a PA to provide Medical Services and other licensed activityactivityto to a patient located in the Remote State under the Remote State's laws and regulations.
– The submission of fingerprints or other biometric-based information for a License applicant for the purpose of obtaining that applicant's criminal historyhistoryrecord record information, as defined in 28 Page 6 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 C.F.R.
For purposes ofthis Compact, anyothertitleorstatus adoptedbyadoptedbya a Stateto replace the term "physician assistant" shall be deemed synonymous with "physician assistant" and shall confer the same rights and responsibilities to the Licensee under the provisions of this Compact at the time of its enactment.
DRH10292-NBf-127House Bill 672-First Edition Page 7 General Assembly Of North Carolina Session 2025 (3) Have a mechanism in place for receiving and investigating complaints against Licensees and License applicants.
(7) Havehad no revocationofaLicenseorlimitationrevocationofa Licenseorlimitation orrestriction onanyLicenseon anyLicense currently held due to an Adverse Action.
(9) If a Compact Privilege has been revoked or is limited or restricted in a Participating State for conduct that would not be abasis for disciplinarydisciplinaryaction action in a Participating State in which the Licensee is practicing or applying to practice under a Compact Privilege, that Participating State shall have the discretion not to consider such action as an Adverse Action requiring the denial or removal of a Compact Privilege in that State.
(11) Meet anyanyJurisprudence Jurisprudence Requirement of a Remote State in which the Licensee is seeking to practice under the Compact PrivilegeandPrivilege payand anypayanyfees fees applicable to satisfying the Jurisprudence Requirement.
The Licensee must also comply with all of the requirements of subsection (a) of this section to maintain the Compact Privilege in a Page 8 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 Remote State.
(2) When applying for a Compact Privilege, the Licensee is required to consent to accept service of process bybymail mail at the Licensee's primary residence on file with the Commission with respect to any action brought against the Licensee bytheCommissionoraParticipatingState,includingasubpoena,with respect to any action brought or investigation conducted by the Commission or a Participating State.
The issuing authority shall pay any witness fees, travel expenses, mileage, and other fees required bybythe the service statutes of the State in which the witnesses or evidence are located.
DRH10292-NBf-127House Bill 672-First Edition Page 9 General Assembly Of North Carolina Session 2025 (4) Nothing in this Compact authorizes a Participating State to impose discipline against a PA's Compact Privilege or to deny an application for a Compact Privilege in that Participating State for the individual's otherwise lawful practice in another State.
(2) Participating States shall share any investigative, litigation, or compliance materials in furtherance of anyanyjoint joint or individual investigation initiated under this Compact.
The Commission is an instrumentalityinstrumentalityof of the Compact States acting jointly and not an instrumentality of any one State.
(4) TheParticipatingTheParticipatingState State Licensing Board shall fill anyvacancyanyvacancyoccurringin occurringin the Commission within 60 days.
Page 10 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 (5) Each delegate shall be entitled to one vote on all matters voted on by the Commission and shall otherwise have an opportunity to participate in the business and affairs of the Commission.
The bylaws may provide for delegates'delegates'participation participation in meetings bytelecommunications, videoconference, or other means of communication.
(17) Appoint committees, including standing committees composed of members, State regulators, State legislators or their representatives, and consumer representatives, and such other interested persons as maymaybe be designated in this Compact and the bylaws;
DRH10292-NBf-127House Bill 672-First Edition Page 11 General Assembly Of North Carolina Session 2025 (20) Reserve for itself, in addition to those reserved exclusivelyexclusivelyto to the Commission under the Compact, powers that the Executive Committee may not exercise;
Disclosure of information related to anyanyinvestigative investigative reports prepared by or on behalf of or for use of the Commission or other committee charged with responsibility of investigation or determination of compliance issues pursuant to this Compact;
All minutes and documents of a closed meeting shall remain under seal, Page 12 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 subject to release by a majority vote of the Commission or order of a court of competent jurisdiction.
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DRH10292-NBf-127House Bill 672-First Edition Page 13 General Assembly Of North Carolina Session 2025 a.
PerformotherdutiesPerform otherduties as providedin theCommission's Rulesorbylaws.
The procurement of insurance of anyanytype type by the Commission shall not in any way compromise or limit the immunity granted hereunder.
and provided further, that the actual Page 14 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 or alleged act, error, or omission did not result from that person's intentional or willful or wanton misconduct.
(b) Notwithstanding anyanyother other State law to the contrary, a Participating State shall submit a uniform data set to the Data System on all PAs to whom this Compact is applicable (utilizing a unique identifier) as required by the Rules of the Commission, including:
DRH10292-NBf-127House Bill 672-First Edition Page 15 General Assembly Of North Carolina Session 2025 (d) The Commission shall promptlypromptlynotify notify all Participating States of any Adverse Action taken against a Licensee or an individual applying for a License that has been reported to it.
(b) The Commission shall promulgate reasonable Rules in order to effectively and efficientlyefficientlyimplement implement and administerthis Compactandachieveits purposes.
Page 16 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 (3) A request for comments on the proposed Rule from any interested person and the date by which written comments must be received;
and (4) Themannerin whichinterestedpersonsmaywhichinterestedpersonsmaysubmit submit noticeto the Commission of their intention to attend the public hearing or provide any written comments.
(2) Hearings shall be conducted in a manner providing each person who wishes to comment a fair and reasonable opportunityopportunityto to comment orallyorallyor or in writing.
(3) Meet adeadlineforthepromulgationofaCommission RulethatRulethatis is established by federal law or Rule;
(m) The Commission or an authorized committee of the Commission maymaydirect direct revisions to a previously adopted Commission Rule for purposes of correcting typographical errors, errors in format, errors in consistency, or grammatical errors.
The revision shall be subject to challenge by any DRH10292-NBf-127House Bill 672-First Edition Page 17 General Assembly Of North Carolina Session 2025 person for a period of 30 days after posting.
(1) The executive and judicial branches of State government in each Participating StateshallenforcethisCompactandtakeallactionsnecessaryandStateshallenforcethisCompactandtakeallactionsnecessaryandappropriate appropriate to implement the Compact.
Nothing herein shall affect or limit the selection or propriety of venue in any action against a Licensee for professional malpractice, misconduct, oranyoranysuchsimilarmatter. such similarmatter.
(2) If a State in default fails to cure the default, the defaulting State may be terminated from this Compact upon an affirmative vote of a majority of the delegates of the Participating States, and all rights, privileges, and benefits conferred bybythis this Compact upon such State maymaybe be terminated on the effective date of termination.
(6) The defaulting State may appeal its termination from the Compact by the Commission by petitioning the United States District Court for the District of Page 18 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 Columbia or the federal district where the Commission has its principal offices.
(1) Uponrequest byaParticipatingbyaParticipatingState,theCommission State,theCommission shall attemptto resolve disputes related to this Compact that arise among Participating States and between Participating and non-Participating States.
(1) On or after the effective date of the Compact, the Commission shall convene and review the enactment of each of the States that enacted the Compact prior DRH10292-NBf-127House Bill 672-First Edition Page 19 General Assembly Of North Carolina Session 2025 to the Commission convening ("Charter Participating States") to determine if the statute enacted by each such Charter Participating State is materially different than the Model Compact.
(d) Nothing contained in this Compact shall be construed to invalidate or prevent anyanyPA PA licensure agreement or other cooperative arrangement between Participating States and between a Participating State and non-Participating State that does not conflict with the provisions of this Compact.
Page 20 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 (e) This Compact may be amended by the Participating States.
(a) This Compact and theCommission's rulemaking authorityauthorityshall shall beliberallyconstrued so as to effectuate the purposes and the implementation and administration of the Compact.
Provisions of the Compact expresslyexpresslyauthorizing authorizing or requiring the promulgation of Rules shall not be construed to limit the Commission's rulemaking authority solely for those purposes.
(b) The provisions of this Compact shall be severable and if anyanyphrase, phrase, clause, sentence, or provision of this Compact is held by a court of competent jurisdiction to be contrary to the constitution of any Participating State, a State seeking participation in the Compact, or of the United States, or the applicability thereof to any government, agency, person, or circumstance is held to be unconstitutional by a court of competent jurisdiction, the validity of the remainder of this Compact and the applicability thereof to any other government, agency, person, or circumstance shall not be affected thereby.
Otherwise, if this Compact shall be held to becontrarybecontraryto to the constitution ofanyParticipatingofanyParticipatingState, State,theCompacttheCompact shall remaininremain in full force and effect as to the remaining Participating States and in full force and effect as to the Participating State affected as to all severable matters.
(a) Nothing herein prevents the enforcement of anyanyother other law of a Participating State that is not inconsistent with this Compact.
DRH10292-NBf-127House Bill 672-First Edition Page 21 General Assembly Of North Carolina Session 2025 (a) Every licensee shall register annually with the Board no later than 30 days after the person's birthday.
Licensee shall include anyanycompact compact privilege issued to a holder of a qualifying license in a participating state pursuant to Article 18J of this Chapter.
Page 22 DRH10292-NBf-127House Bill 672-First Edition General Assembly Of North Carolina Session 2025 The Department of Public Safety may charge each applicant a fee for conducting the checks of criminal history records authorized by this subsection.
(a) The Board shall have the power to place on probation with or without conditions, impose limitations and conditions on, publicly reprimand, assess monetary redress, issue public letters of concern, mandate free medical services, require satisfactory completion of treatment programs or remedial or educational training, fine, deny, annul, suspend, or revoke a license, or other authorityauthorityto to practice medicine in this State, issued bybythe the Board to any person who has been found by the Board to have committed any of the following acts or conduct, or for any of the following reasons:
DRH10292-NBf-127House Bill 672-First Edition Page 23
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Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.
The bill revises the requirements for physician assistants, particularly those practicing in team-based settings, allowing for more flexible supervision arrangements.
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G.S. 90-1.1
(4d) Team-based setting or team-based practice. – Any of the following: a. A medical practice that meets all of the following requirements: 1. The majority of the practice is owned collectively by one or more licensed physicians. 2. An owner who is a physician licensed under this Chapter has consistent and meaningful participation in the design and implementation of health services to patients, as defined by rules adopted by the Board. 3. The physicians and team-based physician assistants who provide services at the medical practice work in the same clinical practice area. b. Hospitals, clinics, nursing homes, and other health facilities with active credentialing and quality programs where physicians have consistent and meaningful participation in the design and implementation of health services to patients, as defined by rules adopted by the Board. c. For the purposes of this Article, the term "team-based setting" or "team-based practice" shall not include a medical practice that specializes in pain management.
This provides a formal definition of team-based settings or practices for physician assistants.
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G.S. 90-9.3
the physician who will supervise the physician assistant in the relevant medical setting.→ the name, address, and telephone number of the physician who will supervise the physician assistant in the relevant medical setting. This subsection shall not apply to physician assistants who meet the requirements for team-based practice under G.S. 90-9.3A.This clarifies that supervision requirements do not apply to physician assistants practicing in team-based settings.
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G.S. 90-9.3A
§ 90-9.3A. Requirements for team-based practice as a physician assistant. (a) In order to practice as a team-based physician assistant, a physician assistant shall meet all of the following conditions: (1) Practice in team-based settings, as defined in G.S. 90-1.1(4d). (2) Have more than 4,000 hours of clinical practice experience as a licensed physician assistant and more than 1,000 hours of clinical practice experience within the specific medical specialty of practice with a physician in that specialty. (3) Submit proof as the Board may deem satisfactory by rule that the individual meets the requirements of subdivisions (1) and (2) of this subsection.
This section establishes the specific requirements for physician assistants wishing to practice in team-based settings.
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G.S. 90-12.4
the physician licensed under this Article who will supervise the physician assistant in the clinic specializing in the care of indigent patients.→ submit to the Board either an "Intent to Practice Notification Form," which shall include the name, address, and telephone number of the physician licensed under this Article who will supervise the physician assistant in the clinic specializing in the care of indigent patients, or meet the requirements for team-based practice under G.S. 90-9.3A.This allows for more flexibility in the supervision requirement for limited volunteer licenses by introducing an alternative compliance option.
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G.S. 90-18.1
This subdivision shall not apply to individuals who are practicing in a team-based setting under G.S. 90-9.3A.This removes the limitation placed on physician assistants practicing in team-based settings regarding their ability to write prescriptions.
Action History
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Passed 1st Reading
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Ref to the Com on Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
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Filed
Sponsors
- Bill Ward · Cosponsor
- Cody Huneycutt · Cosponsor
- Pricey Harrison · Cosponsor
- Carla D. Cunningham · Cosponsor
- Maria Cervania · Cosponsor
- Amber M. Baker · Cosponsor
- Allen Chesser · Cosponsor
- Donny Lambeth · Primary
- Larry W. Potts · Primary
- Erin Paré · Primary
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 7 co-sponsors · 169 not signed on
Sponsors (3)
- Donny Lambeth Republican
- Larry W. Potts Republican
- Erin Paré Republican
Co-sponsors (7)
- Bill Ward Republican
- Cody Huneycutt Republican
- Pricey Harrison Democratic
- Carla D. Cunningham U
- Maria Cervania Democratic
- Amber M. Baker Democratic
- Allen Chesser Republican
Not signed on (169)
169 members have not signed on to this bill.
Show all 169 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- Who sponsors HB 672?
- HB 672 is sponsored by Bill Ward (Republican), Cody Huneycutt (Republican), Pricey Harrison (Democratic), Carla D. Cunningham (U), Maria Cervania (Democratic), Amber M. Baker (Democratic), Allen Chesser (Republican), Donny Lambeth (Republican), Larry W. Potts (Republican), and Erin Paré (Republican).
- What is the current status of HB 672?
- This bill is in committee in the House. Introduced April 01, 2025. It must pass committee before a floor vote.
- Where can I track HB 672?
- Track HB 672 free on One Click Politics — get push/email alerts when it moves.
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